Font size
WorksheetsSALD Special Pediatric Populations Chapter 4
Total questions: 71
Worksheet time: 38mins
Instructions: Choose the best answer for each question.
Which term is characterized by significant limitations in both intellectual functioning and adaptive behavior that originates before the age of 22?
Developmental Language Disorder (DLD)
Autism Spectrum Disorder (ASD)
Intellectual Disability (ID)
Global Developmental Delay
What is the most common genetic cause of Intellectual Disability (ID)?
Fragile X Syndrome (FXS)
Williams Syndrome (WS)
Down Syndrome (DS)
Fetal Alcohol Spectrum Disorder (FASD)
Which of the following is considered a core challenge in the cognitive profile of individuals with Down Syndrome, particularly involving verbal material?
Visual-spatial construction
Short-term memory for meaningful stimuli
Executive functions
Phonological processing
A child with Down Syndrome is most likely to show a relative strength in which language domain compared to their nonverbal abilities?
Expressive syntax
Speech intelligibility
Receptive vocabulary
Tense marking
Williams Syndrome (WS) is associated with a distinctive behavioral phenotype of:
Social withdrawal
Hypersociability
Hyperactivity-impulsivity
Emotional lability
Which skill is a profound area of difficulty for individuals with Williams Syndrome, often contrasting with relative strengths in verbal reasoning?
Phonological awareness
Verbal working memory
Visual-spatial construction
Concrete vocabulary
Fragile X Syndrome (FXS) is the most common inherited form of Intellectual Disability, caused by an expansion on which gene?
FOXP2
FMR1
Trisomy 21
Deletion on chromosome 7
Which co-occurring condition is extremely common in children with Fragile X Syndrome, affecting 50–74% of children?
Selective Mutism
Autism
Landau-Kleffner Syndrome
Acquired Apraxia of Speech
In a child with Fragile X Syndrome, which language skill is a particular challenge, often lagging behind vocabulary and mental age?
Speech sound production
Expressive vocabulary
Syntax
Delayed echolalia
What is the most common cause of conductive hearing loss in children, which is often fluctuating and intermittent?
Sensorineural damage
Otitis Media (OM)
Cochlear aplasia
Traumatic Brain Injury (TBI)
The use of Cochlear Implants yields the best spoken language outcomes when implantation occurs before which age?
6 months
12 months
3 years
5 years
Following a Traumatic Brain Injury (TBI), which aspect of language is often particularly vulnerable, with common deficits in turn-taking and topic maintenance?
Phonology
Receptive vocabulary
Morphosyntax
Pragmatic language
In the acute care phase (Phase I) of TBI recovery, assessment primarily focuses on:
Retraining lost cognitive functions
Physical care needs like swallowing and motor control
Facilitating school reintegration
Developing compensatory strategies
Landau-Kleffner Syndrome (LKS) is a rare form of epilepsy also known as acquired epileptic aphasia. What is the hallmark language characteristic?
Profound articulation difficulties
Rapid loss of language skills, with comprehension most severely affected
Advanced, complex syntax
Hyperlexia with poor comprehension
In severe cases of Landau-Kleffner Syndrome, a child may present with which condition?
Global Developmental Delay
Hyperlexia
Auditory agnosia
Selective mutism
Autism Spectrum Disorder (ASD) is characterized by persistent deficits in social communication/interaction and restricted, repetitive patterns of behavior/interests. Which feature is often a relative strength compared to morphosyntax and pragmatics?
Articulation
Vocabulary depth
Narrative coherence
Understanding nonliteral language
The term hyperlexia in autism refers to:
Excessive, tangential speech
Advanced word reading ability with limited verbal and cognitive skills
The use of overly formal language
Profound difficulty with reading comprehension
What is a key criterion for the Social (Pragmatic) Communication Disorder (SCD) diagnosis in DSM-5?
The deficits occur in the absence of Intellectual Disability
The deficits occur in the absence of autism
The individual has a history of Selective Mutism
The individual must also meet criteria for ADHD
Deficits in executive function are a common challenge that impacts language learning across diverse populations. Which of the following is a component of executive functions?
Auditory processing
Response inhibition
Sensory regulation
Expressive vocabulary
What co-occurrence rate exists between Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Language Disorder (DLD)?
Less than 5%
Around 10%
Around 22%
Greater than 50%
A child with Fetal Alcohol Spectrum Disorder (FASD) is often described as facing a "double jeopardy" which includes prenatal teratogenic effects and:
High rates of co-occurring Fragile X Syndrome
Profound auditory agnosia
A potentially chaotic caregiving environment
Highly structured, but non-responsive, home interventions
Which aspect of language is described as the most severely and persistently affected in children with Fetal Alcohol Spectrum Disorder (FASD)?
Phonology and articulation
Relational vocabulary
Pragmatic aspects of language
Expressive syntax
Selective Mutism is classified as a(n):
Neurodevelopmental Condition
Speech Sound Disorder
Anxiety Disorder
Acquired Neurological Condition
Which is a key component of the intervention approach for a child diagnosed with Selective Mutism?
Focusing only on phonological awareness
Gradually increasing the child's comfort with speaking across different people and settings
Intensive, isolated work on grammar and syntax
Immediate prescription of Augmentative and Alternative Communication (AAC)
Childhood Apraxia of Speech (CAS) is a neurological speech sound disorder involving impaired precision and consistency of speech movements without:
Inappropriate prosody
Inconsistent errors on consonants and vowels
Neuromuscular deficits
Lengthened/disrupted transitions
For a nonspeaking child with Autism, what is the primary goal of intervention?
Achieving a highly advanced level of syntax
Establishing intentional and functional communication for a variety of purposes
Eliminating all repetitive behaviors
Developing auditory processing skills alone
In the clinical management of Down Syndrome, what is an important area to monitor due to the risk of recurrent ear infections?
Executive functions
Visual-spatial memory
Hearing
Pragmatics
Which approach to literacy is advocated for individuals with Williams Syndrome, given their language profile?
A sight-word only approach
A systematic, phonics-based approach
A whole language approach
An approach focused solely on reading comprehension
What is a key purpose of diagnostic labels in clinical practice, despite their limitations?
Determining the root cause of every language problem
Predicting a child's exact language profile
Securing access to speech-language pathology (SLP) services and educational support
Substituting for a detailed, individualized assessment
The "transdiagnostic" approach to language disorders recognizes that many risk factors are common across developmental conditions and supports which core clinical focus?
Determining the precise genetic etiology
Focusing on an individual child's unique profile of speech, language, and communication strengths and challenges
Relying exclusively on IQ scores to predict language outcomes
Limiting intervention to only one domain of language
The ability of an individual to produce an echo of language, which can include delayed echolalia, is a typical feature of:
Williams Syndrome
Autism
Conductive Hearing Loss
Traumatic Brain Injury
The diagnosis of Developmental Language Disorder (DLD) is characterized by a language disorder in which there is no other:
Identified genetic cause
Identified learning disability
Biomedical condition or identified cause
Evidence of expressive language difficulty
What is a primary vulnerability for children with Congenital Visual Impairment (VI), despite structural language skills often being intact?
Phonology and articulation
Verbal memory
Social–pragmatic skills
Concrete vocabulary
In children with nonspecific Intellectual Disability, their overall development generally follows a typical trajectory at what pace?
An accelerated pace
A much slower pace
An unpredictable, fluctuating pace
A pace faster than nonverbal abilities
Executive Function deficits can adversely affect how a student plans, organizes, and monitors reading tasks, primarily impacting:
Word recognition
Reading rate
Reading comprehension
Decoding skills
Augmentative and Alternative Communication (AAC) can serve as a bridge to:
Eliminating the need for literacy instruction
Eliminating the need for speech therapy
Symbolic reasoning and later language development
Treating underlying anxiety disorders
The proposed administrative term "profound autism" is intended to describe autistic individuals who:
Have only verbal language strengths
Require 24-hour care, often associated with substantial ID and/or minimal language
Have IQs above 100
Only exhibit deficits in one language domain
Which of the following is not one of the consensus criteria for Childhood Apraxia of Speech (CAS)?
Inconsistent errors on consonants and vowels
Lengthened/disrupted transitions
Neuromuscular deficits
Inappropriate prosody
Assessment of adaptive behavior must be relative to the individual's:
Performance on IQ tests
Chronological age only
Cultural group
Reading comprehension level
Auditory Agnosia is a condition where an individual does not recognize or respond to speech and/or environmental sounds, despite having:
Minimal language
A cochlear implant
Normal hearing levels
Profound ID
Mark 'T' for true and 'F' for false. The core clinical focus in language disorders should be on a child's diagnostic label rather than their unique profile of strengths and challenges.
T
F
Mark 'T' for true and 'F' for false. For a diagnosis of Intellectual Disability, the onset must occur during the developmental period (before age 22).
T
F
Mark 'T' for true and 'F' for false. In Down Syndrome, expressive syntax is typically more impaired than receptive syntax.
T
F
Mark 'T' for true and 'F' for false. Individuals with Down Syndrome tend to have better word recognition than word decoding skills.
T
F
Mark 'T' for true and 'F' for false. Hypotonia (low muscle tone) is a characteristic feature of both Down Syndrome and Fragile X Syndrome.
T
F
Mark 'T' for true and 'F' for false. A pervasive view that low nonverbal cognitive abilities limit language potential is strongly supported by current research.
T
F
Mark 'T' for true and 'F' for false. In otherwise healthy children, Otitis Media typically confers increased risk for long-term language or literacy impairment.
T
F
Mark 'T' for true and 'F' for false. Sensorineural Hearing Loss is usually reversible with medical intervention.
T
F
Mark 'T' for true and 'F' for false. Children with congenital Developmental Language Disorder (DLD) often have worse language outcomes than children who suffer from focal brain lesions.
T
F
Mark 'T' for true and 'F' for false. For nonspeaking children, Augmentative and Alternative Communication (AAC) is a vital tool, but its implementation does not require careful assessment of the communication partners' skills.
T
F
Mark 'T' for true and 'F' for false. In children with Traumatic Brain Injury, narrative skills are often highly organized and contain all key story elements.
T
F
Mark 'T' for true and 'F' for false. Children with congenital Visual Impairment typically have language delays that are resolved by school age.
T
F
Mark 'T' for true and 'F' for false. Social-pragmatic challenges rarely occur in isolation and are strongly associated with broader structural language skills and with autistic traits.
T
F
Mark 'T' for true and 'F' for false. Executive function deficits are common in ADHD and can disrupt language learning.
T
F
Mark 'T' for true and 'F' for false. Clinicians have a legal duty to report suspected maltreatment.
T
F
Mark 'T' for true and 'F' for false. Auditory Processing Disorder (APD) is a diagnosis with no controversy, universally accepted as a primary cause of listening difficulties.
T
F
Mark 'T' for true and 'F' for false. A key clinical implication for Fragile X Syndrome is that a detailed pragmatic evaluation is warranted.
T
F
Mark 'T' for true and 'F' for false. Reading comprehension is a strong predictor of word reading skills in non-autistic populations, but not in autistic populations.
T
F
Mark 'T' for true and 'F' for false. Intervention for language disorders is most effective when it is highly structured, standardized, and applied uniformly across all individuals with the same diagnosis.
T
F
Mark 'T' for true and 'F' for false. The onset of Landau-Kleffner Syndrome typically occurs between 3 and 9 years old.
T
F
Mark 'T' for true and 'F' for false. Cochlear implant use can result in near-normal levels of reading comprehension.
T
F
Mark 'T' for true and 'F' for false. In the language profile of children with nonspecific Intellectual Disability, verbal and nonverbal skills appear to be mutually influential.
T
F
Mark 'T' for true and 'F' for false. Williams Syndrome is associated with profound difficulties in visual-spatial construction.
T
F
Mark 'T' for true and 'F' for false. The most widely used measure for assessing adaptive behavior is the Vineland Adaptive Behavior Scales-III.
T
F
Mark 'T' for true and 'F' for false. A systematic, phonics-based approach to literacy is preferable for individuals with Williams Syndrome.
T
F
Mark 'T' for true and 'F' for false. For children with language disorders following abuse and neglect, intervention should encourage language for reflection and perspective-taking.
T
F
Mark 'T' for true and 'F' for false. Focal Brain Lesions in children typically result in severe, irreversible deficits in basic phonology, vocabulary, and grammar.
T
F
Mark 'T' for true and 'F' for false. Interventions for children with visual impairment can include video feedback instruction for parents to enhance interactive turn-taking and contingent responses.
T
F
Mark 'T' for true and 'F' for false. The ability to repeat back what was said (verbal short-term memory) is a relative strength in Williams Syndrome.
T
F
Mark 'T' for true and 'F' for false. The SLP's role in Phase III (Return to Home/School) of TBI recovery may include consultation with school staff to facilitate reintegration.
T
F
